PD catheter at exit-site care: daily routine, bathing, dressing at infection prevention

Wash and dry hands carefully before handling the catheter, changing the dressing or doing an exchange. The exact handwashing duration, mask use and connection steps should follow your PD unit's training.

If a caregiver helps, the same infection-control rules apply to them.

A catheter that repeatedly tugs on the exit site can irritate the skin and increase trauma. Secure the catheter the way your PD nurse taught you and avoid tight clothing or belts that rub the site.

Keep scissors, sharp objects and pets away from the catheter and tubing.

Use the cleanser and technique prescribed by your PD program. NKF advises avoiding improvisation with harsh products such as alcohol or hydrogen peroxide unless specifically instructed because they can irritate tissue.

Do not pick crusts or scabs. After cleaning, the area should be dried carefully using the method taught by your center before applying the recommended dressing or securement.

Some PD programs prescribe topical antibiotic prophylaxis at the exit site, but current ISPD catheter-infection guidance recognizes that practices differ and recommendations have evolved. Use only the product and schedule prescribed by your own PD team.

Do not independently start, switch or stop antibiotic ointments based on another patient's routine or an old online post.

Once the exit site has healed and your PD team has cleared you, showering may be allowed with appropriate catheter protection and exit-site care afterward.

Avoid untreated water exposure. Recommendations about swimming can vary by program and local water quality; if your center allows it, follow their waterproof dressing and post-swim cleaning instructions exactly.